Information Collection

Health Coverage Tax Credit (HCTC) Monthly Registration and Update

IC 41159 under ICR 202209-1545-004 · OMB 1545-1842.

Documents and Forms

Document Name Document Type
Form 13441-A Health Coverage Tax Credit (HCTC) Monthly Registration and Update Form and Instruction
13441-A Health Coverage Tax Credit (HCTC) Monthly Registration a f13441-a--2021-04-00.pdf www.irs.gov/hctc Form and Instruction
13441-A Health Coverage Tax Credit (HCTC) Monthly Registration a f13441-a--2021-04-00.pdf www.irs.gov/hctc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Health Coverage Tax Credit (HCTC) Monthly Registration and Update	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	13441-A	Health Coverage Tax Credit (HCTC) Monthly Registration and Update	f13441-a--2021-04-00.pdf	www.irs.gov/hctc	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 24.030-CADE Individual Master File	FR Citation: 83 FR 42980

Number of Respondents: 5,146	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5,146	5,146
Annual IC Time Burden (Hours)	2,573	2,573
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.